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Care Transition Nurse

CommonSpirit Health at Home
Full-time
On-site
Indianapolis, Indiana, United States
Now Hiring Full-Time Care Transition Nurse (CTN) at Community Health at Home, based onsite at Community South Hospital.
Overview As a Care Transition Nurse (CTN) with Community Health at Home, you will play a key role in providing coordinated home health services for referred patients. You’ll collaborate with healthcare professionals, identify patient needs, and facilitate seamless transitions to home health care.
Responsibilities Collaborate with hospitals, nursing homes, and home health personnel to ensure quality care.
Meet or exceed established monthly admission targets as provided by supervisor and determined by the branch monthly budget.
Coordinate patient referrals, evaluate eligibility for services, and assist in arranging home health care.
Analyze patient needs and educate caregivers about home health options, Medicare/Medicaid guidelines, and insurance benefits.
Develop relationships with healthcare providers to promote home health services and best practices.
Participate in provider education and support hospital staff as a home health resource.
Conduct trend analysis and identify opportunities for enhancing home health service outcomes.
Contribute to Quality Assurance Performance Improvement (QAPI) initiatives.
Benefits Generous annual bonus opportunity based on company performance
Excellent holiday and paid time off plans
Medical, dental, and vision plans
Tuition reimbursement for degree-seeking students
Employer contribution to your 401(k)
Job Requirements RN or LPN license in the state(s) served or a BSW/MSW from an accredited institution with relevant state licenses.
Minimum of 2 years of healthcare experience, preferably in home health or sales/marketing.
Strong communication, assessment, and decision-making skills.
Ability to build relationships, educate, and promote services effectively.
Commitment to professional development and improving own skills.
Where You'll Work Community Health at Home is part of an expansive health care network committed to providing better patient care with better outcomes, where it is best received, at home. As a faith-based organization, we focus on improving the health of patients and communities we serve, rooted in humankindness.
Pay Range $27.45 - $39.80 /hour
Employment type Full-time
Job function Health Care Provider
Industries Hospitals and Health Care
We’re Equal Opportunity Employers promoting diversity, equity, and inclusion in every aspect of our organization.

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